Provider Demographics
NPI:1548563752
Name:HOGAN, KATHRYN SAUMWEBER (CPM, LM)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:SAUMWEBER
Last Name:HOGAN
Suffix:
Gender:F
Credentials:CPM, LM
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:
Other - Last Name:SAUMWEBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CPM, LM
Mailing Address - Street 1:4201 44TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-3540
Mailing Address - Country:US
Mailing Address - Phone:651-335-1283
Mailing Address - Fax:888-503-3229
Practice Address - Street 1:4201 44TH AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-3540
Practice Address - Country:US
Practice Address - Phone:651-335-1283
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-09
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI113-49176B00000X
MN1025176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife